﻿<center>
<asp:FormView DataSourceID="dsExport" style="text-align:center;width:85%;text-align:center" runat="server"><ItemTemplate>
<div class="Section1" style="padding-top:.5in" Align="left" >

<p class=HeadingCenter style='margin-top:0in;white-space:pre;text-align:center'>
<%#Eval("CompanyFullName")%>
PO BOX 553250
DAVIE, FL 33325-3250
(888) 605-0400
<%=Title%>
</p>

<p style="white-space:pre"></p>
<%#Eval("Name")%><br />
<%#Eval("Address")%>
<table width="100%" CellPadding="0" CellSpacing="0"><tr>
	<td nowrap><%#Eval("City")%>, <%#Eval("St")%> <%#Eval("Zip Code")%></td>
	<td Width="100%" Align="right"><%#Eval("DocumentDate","{0:d}") %></td>
</tr></table>
